HomeMy WebLinkAbouthmbp 2019 1420 GOLDEN STATE.3°': .r° „,� "`r�it�•., «'t�r�s�'"'vv:a?"�- �'T"� buy �{� t 4. <4. _ g,r _ .�.�” 'vo- 'wig. 'Y -z wa =E f�, §r� 1 1 x 1 e{
BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST 2101 H Street
,
,'� Bakersfield CA 93301
SECTION `1 Hazardous Materials Business Plan .� 4 Tel.: (661) 326 -3979
Inspection Fax: (66.1) 852 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
ADDRESS
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTAC
+ p
BUSINESS�jID NUMBER
J Ay j .vYYjr {y
♦
Sb
Y yK
{
Consent to Inspect Name /Title
':•4". 3..} � 3••:. �. i. §' ....:, x ,.. r:f> ., , �.. :'.: n .>, . -'� .. ,..:. ,... .." ... .... 3 .. ..::. .. "... i ..0 i ii 13 g kd1 hLf ..fx
,,,. : x: 3 , :.,: :, £s :..
.s ..,5 .,. E,:,. E.3q' , > t:.: e ,.:.. ... : ..,:a.,:. .. E. .a :. <- ::..:., t" v 3 :3 W 3 F b.
.£.:. +.., (#v..::t:.. r. }a.. v ... A. �.. ,�:. Y,, },. R i
..+:.. ,. .. rte. �''>:.., : .: .. r:.: :y3t Ye t' l f 33.( £: j j !
.?,,... 3,:.i P 3 S ?.It i *:, 3 i3 : 3 I
£ 3 i
,.. ti ,n,.,1. B;usiness, Plan:,,an.d an�entor. =Pr,.o � ��� i
rarn �t
_,..... v.:.,M_.. .n...,.... ... „: „�.f .: •3 j,,.,,,,, .,:. . , s.:. ,.._ ,A. _aN
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C- V q =Compliance OPERATION
V =Violation; 1,11 Minor
C E R S
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
3210043
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
>
CORRECT. OCCUPANCY, (CBC: 401)
VERIFICATION OF. INVENTORY. MATERIALS (CCR: 2729.3)
1010004
-
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1.010006
VERIFICATION OF LOCATION (CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CC R: 2731 (c))
-
r
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010 .
CONTAINERS PROPERLY LABELED (CCR: 66262.34(fl, CFC: 2703.5)
3030007
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION" (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITET ❑ YES NO
Si natnreofReceipt
Explain-
Inspector:
POST INSPECTION INSTRUCTIONS:
e 'Correct the violation(s) noted above by - ,
• Within 5 days`of correcting all of they violations, sign and return a copy of this page to: ..r.- �°"'�Signature (thatall violations have been corrected as noted)
Bakersfield Fire Dept., Prevention Services; 2101 H Street, California 93,301
Date
White - Business Copy Yellow — Station Copy Pink'— Prevention Services FD2155 (Rev 9/2017)